Perimenopause: Signs Your Period Is Ending
September 19, 2025
Perimenopause: The Chapter Before Menopause
Perimenopause is the transition phase before menopause, when the ovaries gradually slow their production of the hormones oestrogen and progesterone.
Unlike menopause, which is marked by the end of menstrual cycles, perimenopause is a shifting and fluctuating period of hormonal change.
This stage can begin earlier than many women expect. While the average onset is in the mid-40s, some women experience signs in their late 30s.
Perimenopause can last a few months, but for some, it stretches over several years — sometimes up to eight or more.
Because the changes happen gradually, early signs are often missed or dismissed as “just stress” or “getting older.” Recognising these changes is the first step in managing them effectively.
Common Signs and Symptoms
- Hot flushes and night sweats
Sudden waves of heat, flushing of the skin, and sweating can appear during the day or interrupt sleep at night. These can range from mild to intense and may be triggered by factors such as stress, certain foods, or changes in room temperature. - Sleep disturbances
Falling asleep can become more difficult, and many women wake during the night without a clear reason. This can lead to fatigue and low energy during the day. - Mood changes
Shifts in mood, including irritability, anxiety, and sudden emotional reactions, can be linked to fluctuating hormones. For some, these changes can feel out of character and disruptive. - Irregular periods
Cycles may shorten, lengthen, or become heavier or lighter. Periods may also skip entirely before resuming again, adding to the unpredictability. - Cognitive changes (brain fog)
Some women report difficulty concentrating, forgetfulness, or losing their train of thought mid-sentence. These changes can be frustrating, especially in work or social situations. - Changes in libido and vaginal health
A decline in sexual desire, vaginal dryness, or discomfort during intimacy may occur due to reduced oestrogen levels. - Physical changes
Aches, joint stiffness, changes in skin texture, and pelvic floor symptoms such as urinary leaks, urgency, or a sensation of heaviness can develop.
Why This Stage Matters
Perimenopause is a natural stage of life, but it can have a significant impact on physical, emotional, and social wellbeing. Many women feel they have to “push through” without support, yet there are effective strategies to help.
These may include:
- Adjusting exercise and nutrition to support hormonal health and bone strength.
- Learning pelvic floor exercises to address or prevent leaks and discomfort.
- Using medical treatments such as hormone replacement therapy (HRT) or other symptom-management options under guidance from a healthcare professional.
- Exploring lifestyle changes like stress management, consistent sleep routines, and reducing trigger foods.
Tracking and Seeking Support
One of the most useful steps you can take is to track your symptoms. Keeping a simple diary for two to three months can help identify patterns and make discussions with your GP or women’s health physiotherapist more productive.
If symptoms are disrupting your daily life — whether that means poor sleep, ongoing discomfort, or emotional strain — professional help is available. The sooner support is sought, the smoother this transition can be.
Perimenopause may be a natural phase, but with the right knowledge, tools, and care, it doesn’t have to be a time of uncertainty or struggle.
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